No. Dokumen — : 4QF.SGI-SMPT.01.02 PT.SAMATOR GAS INDUSTRI | Xovour kets oo IK TSCLSPTAVROD Jl. Jenderal Sudirman KM.3,5.SAMPIT [Tangga/Date:19April2022.————S=«& Telp —: (0531) 33492 Your Ref. 5 Email —: sampit@sgi-gas.com Revise = Website : www.samator.com Hal/Page 1 darifrom 1 (ermasuk hal ini/Inel. This page) FORMULIR PENAWARAN/QUOTATION FORM. Kepada / To: Pengantar / Prologue : Menindak lanjuti permintaan penawaran harga _perusahaan PY'SKS Listrik Kalimantan bapak/ibu,maka bersama ini kami sampaikan penawaran sebagai berikut UP : Bapak Tuah Prabowo ‘According to your requirements, we pass our quotation with condition of os follows No Jenis Barang| jul. Min | Satuan iy Ttem Min. Unit Unit Price 1. | Calibration Mixture Gas Composition ‘Carbon Monoxide : 0,1191% Nitrogen Balance Gas Content :15m3, Pressure 150 Bar 7 2/Cyl High Pressure Cylinder Cylinder Size: 10 Ltr Baja Pressure +150 Bar Valve BSAA 2. | Calibration Mixture Gas Composition Carbon Monoxide : 0,1191% Nitrogen = Balance Gas Content: 1,5m3 Pressure 1150 Bar High Pressure Cylinder 7 2Cyl Cylinder Size +10 Ltr Baja. Pressure 150 Bar Valve Bia 3. | Calibration Mixture Gas ‘Composition Sulfur Dioxide 938 ppm (2500 mg/m’) Nitrogen Balance GasContent — :1,5 m3. Pressure 150 Bar 4 2/y1 High Pressure Cylinder Cylinder Size 210 Ltr Al Pressure 150 Bar ‘ Valve BSH3 # 4, | Calibration Mixture Gas Composition Sulfur Dioxide 300 ppm (800 mg/m") Nitrogen : Balance Gas Content 1,5 m3 : 2ievi pressure 150 BarHigh Pressure Cylinder Cylinder Size 10 Ltr Al Pressure 150 Bar Valve sts 5. | Calibration Mixture Gas Composition Nitric Oxide: 2000 ppm (2500 mg/m’) Nitrogen : Balance GasContent —:1,5 m3 Pressure 2150 Bar *. 2Icy High Pressure Cylinder Cylinder Size: 10 Ltral Pressure 150 Bar Valve sna 6. | Nitrogen UHP Composition Purity 199,999% GasContent —:1,5m3 Pressure +150 Bar “ 4/Cyl High Pressure Cylinder CylinderSize — : 10 Ltr Baja Pressure 1150 Bar Valve ash Te 1. Harga tersebut belum termasuk PPn 11%. 2. Harga tersebut di atas franco PT SKS Listrik Kalimantan — JI, Nyai Undang No.14AD, Palangkaraya 3. Lead Time : 5~7 (Lima ~ Tujuh) Minggu setelah PO diterima 4, Syarat pembayaran Cash Before Delivery 5. Pembayaran via Bank Mandir Cab, Sampit A/C : 1590000449818 6. Masa berlaku penawaran : 1 (satu) bulan sejak tanggal penawaran ini. Persetujuan/Approval Pelanggan/Catomer no | i cise Area Manager ‘menyetujl penawaran ini (Customer sgn and ot supplier if this quotation is approved) Kolm persetujuan pelangan ditandatangani dan atau distempel lenghap dengan nama dan ssl atau copay dikealian Kepada pemaok ka Pelangnn mene om Laps peal Ske cen oat aes end os eal Coop 6m